[1]张蕾,王骞,朱俊英,等.张力环植入与人工晶状体囊袋内单襻缝线固定两种手术方式的对比研究[J].眼科新进展,2018,38(12):1165-1168.[doi:10.13389/j.cnki.rao.2018.0275]
　ZHANG Lei,WANG Qian,ZHU Jun-Ying,et al.Comparison of the efficacy of different methods of surgery：capsular tension ring implantation and the single loop of capsular intraocular lens suture fixation[J].Recent Advances in Ophthalmology,2018,38(12):1165-1168.[doi:10.13389/j.cnki.rao.2018.0275]
点击复制

张力环植入与人工晶状体囊袋内单襻缝线固定两种手术方式的对比研究/HTML
分享到：

《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
38卷
期数:
2018年12期
页码:
1165-1168
栏目:
应用研究
出版日期:
2018-12-05

文章信息/Info

Title:
Comparison of the efficacy of different methods of surgery：capsular tension ring implantation and the single loop of capsular intraocular lens suture fixation
作者:
张蕾; 王骞; 朱俊英; 肖燕; 屈林; 谢可
450002　河南省郑州市，郑州市第二人民医院眼科
Author(s):
ZHANG Lei; WANG Qian; ZHU Jun-Ying; XIAO Yan; QU Lin; XIE Ke
Department of Ophthalmology，Zhengzhou Second Municipal Hospital，Zhengzhou 450002，Henan Province,China
关键词:
晶状体不全脱位; 囊袋张力环; 人工晶状体; 单襻缝线固定
Keywords:
subluxation of the lens; capsular tension ring; intraocular lens; single loop suture fixation
分类号:
R776
DOI:
10.13389/j.cnki.rao.2018.0275
文献标志码:
A
摘要:
目的　比较白内障超声乳化联合囊袋张力环及人工晶状体囊袋内植入术，与白内障超声乳化联合人工晶状体囊袋内单襻缝线固定术两种手术方式治疗白内障合并晶状体不全脱位的临床效果。方法　收集白内障伴晶状体不全脱位33例（41眼），按手术方式分为两组，其中A组行囊袋张力环及人工晶状体囊袋内植入术，共14例17眼；B组行人工晶状体囊袋内单襻缝线固定术，共19例（24眼）。对两组术后视力、眼压、手术并发症及IOL稳定性等资料进行统计学分析。结果　A组术后最佳矫正视力为0.66±0.15；1眼（5.9%）发生低眼压；5眼（29.4%）发生高眼压；8眼（47.1%）发生人工晶状体-囊袋张力环复合体脱位；12眼（70.6%）发生后发性白内障。B组术后最佳矫正视力为0.72±0.14；8眼（33.3%）发生低眼压；1眼（4.2%）发生高眼压；18眼（75.0%）发生后发性白内障。两组术后最佳矫正视力差异无统计学意义（t=-1.150，P=0.257）；术后低眼压发生率比较，差异有统计学意义（χ2=4.377，P=0.036）；术后高眼压发生率比较，差异有统计学意义（χ2=5.077，P=0.024）。结论　两种手术方法均能有效改善患者视力，达到相似的临床效果。
Abstract:
Objective　To compare the efficacy of two methods of surgery for cataract combined with subluxation of the lens，phacoemulsification combined with capsular tension ring（CTR） and intraocular lens （IOL） implantation vs.phacoemulsification combined with the single loop of capsular IOL suture fixation.Methods　The data of 41 eyes of 33 patients with cataract combined with subluxation of the lens were retrospectively analyzed.All patients were divided into two groups.Group A，phacoemulsification combined with capsular tension ring and intraocular lens implantation （Phaco+CTR+IOL） were performed in 17 eyes of 14 patients.Group B，phacoemulsification combined with the single loop of capsular IOL suture fixation（Phaco+IOLSF）were performed in 24 eyes of 19 patients.The acuity,IOP,complications,and IOL stability were compared in the two groups.Results　The postoperative BCVA（LogMAR） was 0.66±0.15 in group A and 0.72±0.14 in group B，the low IOP after surgery occurred in 1 eye （5.9%） in group A and 8 eyes （33.3%） in group B，the IOP elevation occurred in 5 eyes（29.4%） in group A and 1 eye （4.2%）in group B，the posterior capsular opacification （PCO） occurred in 12 eyes （70.6%） in group A and 18 eyes（75.0%） in group B，the dislocated IOL-CTR occurred in 8 eyes （47.1%） in group A.The postoperative BCVA was compared （t=-1.150，P=0.257）；the incidence of the low IOP after surgery is compared（χ2=4.377，P=0.036）；the incidence of the IOP elevation is compared（χ2=5.077，P=0.024）.Conclusion　Similar Optimal visual outcomes can be achieved by capsular tension ring implantation and the single loop of capsular intraocular lens suture fixation.

参考文献/References:

［1］　HE S Z.Diseases of the lens［M］.2nd ed.Beijing：People’s Medical Publishing House，2014：67.
何守志.晶状体病学［M］.2版.北京：人民卫生出版社，2014：67.
［2］　CELIK E，KOKLU B，DOGAN E，ERDOGAN G，ALAGOZ G.Indications and clinical outcomes of capsular tension ring implantation in phacoemulsification surgery at atertiary teaching hospital：A review of 4316 cataract surgeries［J］.J Francais Dophtalmologie，2015，38（10）：600-605.
［3］　RAI G，SAHAI A，KUMAR P R.Outcome of capsular tension ring （CTR）implant in complicated cataracts［J］.J Clin Diagn Res，2015，9（12）：5-7.
［4］　JIANG Y X，LU Y.Progression on surgical management of lenssubluxation［J］.Chin J Ophthalmol Otorhinolaryngol，2017，17：88-91.
蒋永祥，卢奕.晶状体不全脱位的手术治疗进展［J］.中国眼耳鼻喉科杂志，2017，17：88-91.［5］　LU Y，YANG X D，GAO S S，YANG L.The observation of the single loop of capsular IOL suture fixation for subluxation of the lens［J］.J Zhengzhou Univ（Medi Sci），2016，51 （2）：282-284.
吕勇，杨小笛，高莎莎，杨琳.人工晶状体囊袋内单襻缝线固定术治疗晶状体半脱位的临床观察［J］.郑州大学学报（医学版），2016，51（2）：282-284.
［6］　PENG H Z.Malignant glaucoma after capsular tension ring and intraocular lens implantation in 1 case［J］.Int Eye Sci，2007，7（6）：1775.
彭华琮.人工晶状体及囊袋张力环植入眼恶性青光眼1例［J］.国际眼科杂志，2007，7（6）：1775.
［7］　LORENTE R，DE ROJAS V，VAZQUEZDE PARGA P，MORENO C，LANDALUCE M L，DOMíNGUEZ R，et al.Management oflate spontaneous in-the-bag intraocular lens dislocation：retrospective analysis of 45 cases［J］.J Cataract Refract Surg，2010，36：1270-1282.
［8］　LIU Y H，LIU Y Z，WU M X.Clinical use of capsular tension ring during phacoemulsification in subluxated lens［J］.Chin J Ophthalmol，2002，38（4）：262-264.
刘玉华，刘奕志，吴明星.囊袋张力环在晶状体半脱位超声乳化白内障吸出术中的应用［J］.中华眼科杂志，2002，38（4）：262-264.
［9］　PRICE M O，PRICE F W Jr，WERNER L，BERLIE C，MAMALIS N.Late dislocationof scleral-sutured posterior chamber intraocular lenses［J］.J Cataract Refract Surg，2005，31（7）：1320-1326.
［10］　BURGER J，KREUTZER T，ALGE C S，STRAUSS R W，EIBL K，HARITOGLOU C，et al.Capsular tension ring-based invitrocapsule opacification model［J］.J Cataract Refract Surg，2008，34（7）：1167-1172.
［11］　ALI J L，ELKADY B，ORTIZ D，GONZALO B.Microincisionmultifocal intraocularLens with and without a capsular tension ring：optical quality and clinical outcomes［J］.J Cataract Refract Surg，2008，34（9）：1468-1475.
［12］　JIANG Y，ZHANG F，GAO W，TUREHONGJIANG M，LU Y.Investigation of phacoemulsification on exfoliation syndrome combined cataract withdifferent nuclearhardness［J］.Eur J Ophthalmol，2015，25（5）：416-421.

相似文献/References:

[1]王珏 王于蓝 盛耀华.疏水丙烯酸酯囊袋张力环的制作及其对晶状体上皮细胞生长和后囊膜混浊的抑制作用[J].眼科新进展,2012,32(2):000.
[2]林涛.囊袋张力环在高度近视眼后发性白内障手术中的应用[J].眼科新进展,2012,32(9):000.
[3]赵玉新 吴明星.可生物降解载药性晶状体囊袋张力环抑制后发性白内障的研究进展[J].眼科新进展,2009,29(1):000.
[4]韩玉彤,陈彬川,朱光举,等.超声生物显微镜观察囊袋张力环应用后人工晶状体的偏心量和倾斜度[J].眼科新进展,2017,37(6):562.[doi:10.13389/j.cnki.rao.2017.0142]
　HAN Yu-Tong,CHEN Bin-Chuan,ZHU Guang-Ju,et al.Decentration and tilt of IOL after capsule tension ring implantation observed by ultrasonic biomicroscope[J].Recent Advances in Ophthalmology,2017,37(12):562.[doi:10.13389/j.cnki.rao.2017.0142]
[5]陈佳惠,张帆,景清荷,等.不同年龄段马凡综合征晶状体不全脱位患者角膜特征及意义[J].眼科新进展,2017,37(11):1036.[doi:10.13389/j.cnki.rao.2017.0262]
　CHEN Jia-Hui,ZHANG Fan,JING Qing-He,et al.Corneal characteristics in Marfan syndrome patients of different ages with lens subluxation and their significance[J].Recent Advances in Ophthalmology,2017,37(12):1036.[doi:10.13389/j.cnki.rao.2017.0262]
[6]刘刚,王洪亮,贾万程,等.超声乳化术中联合应用囊袋张力环对不同眼轴长度超高度近视合并白内障患者的临床疗效[J].眼科新进展,2020,40(5):439.[doi:10.13389/j.cnki.rao.2020.0101]
　LIU Gang,WANG Hongliang,JIA Wancheng,et al.Clinical effect of combined application of capsular tension ring implantation in patients having ultra-high myopia combined with cataract atdifferent axial lengths[J].Recent Advances in Ophthalmology,2020,40(12):439.[doi:10.13389/j.cnki.rao.2020.0101]
[7]牛科,刘姗姗,范晓军,等.植入不同尺寸囊袋张力环对合并悬韧带松弛急性闭角型青光眼患者术后疗效的影响[J].眼科新进展,2020,40(9):867.[doi:10.13389/j.cnki.rao.2020.0197]
　NIU Ke,LIU Shanshan,FAN Xiaojun,et al.Different size capsular tension ring implantation treatment for acute angle-closure glaucoma with zounle relaxation[J].Recent Advances in Ophthalmology,2020,40(12):867.[doi:10.13389/j.cnki.rao.2020.0197]
[8]郝壮,赵超,蒋孟琪,等.囊袋张力环对高度近视患者白内障术后疗效影响的荟萃分析[J].眼科新进展,2023,43(1):047.[doi:10.13389/j.cnki.rao.2023.0010]
　HAO Zhuang,ZHAO Chao,JIANG Mengqi,et al.Meta-analysis on the roles of capsular tension ring in cataract surgery efficacy of patients with high myopia[J].Recent Advances in Ophthalmology,2023,43(12):047.[doi:10.13389/j.cnki.rao.2023.0010]
[9]张武林,孟克青,张越,等.两种囊袋张力环巩膜固定方法在中重度晶状体不全脱位治疗中的应用研究[J].眼科新进展,2017,37(7):647.[doi:10.13389/j.cnki.rao.2017.0164]
　ZHANG Wu-Lin,MENG Ke-Qing,ZHANG Yue,et al.Application of two capsular Tension ring sclera fixing methods in treatment of moderate and severe lens subluxation[J].Recent Advances in Ophthalmology,2017,37(12):647.[doi:10.13389/j.cnki.rao.2017.0164]
[10]徐智科,陈晓莉,叶宏权.晶状体摘出联合直视下房角分离术治疗晶状体不全脱位继发闭角型青光眼[J].眼科新进展,2020,40(12):1166.[doi:10.13389/j.cnki.rao.2020.0259]
　XU Zhike,CHEN Xiaoli,YE Hongquan.Efficacy of lens extraction combined with goniosynechialysis in treatment of angle closure glaucoma secondary to lens subluxation[J].Recent Advances in Ophthalmology,2020,40(12):1166.[doi:10.13389/j.cnki.rao.2020.0259]

更新日期/Last Update: 2018-12-04